1
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NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Barry Honig
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2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
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(a) ¨
(b) ¨
|
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3
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SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.
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NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
61,627(1)
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
106,162(1) (2)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
61,627(1)
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
106,162 (1) (2)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
167,789 (1) (2)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.99% (3)
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12
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TYPE OF REPORTING PERSON*
IN
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(1)
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Excludes 429,303 shares of Series D Preferred Stock which are convertible into shares of Common Stock on a one for ten basis. The Series D Preferred Stock may not be converted and the holder may not receive shares of the Company’s Common Stock such that the number of shares of Common Stock held by it and its affiliates after such conversion exceeds 4.99% of the then issued and outstanding shares of Common Stock, The restriction described above may be waived, in whole or in part, upon sixty-one (61) days prior notice by the holder to the Company. The number of shares reflected above is limited accordingly.
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(2)
|
Represents 106,162 shares of Common Stock held by GRQ Consultants, Inc. Roth 401K FBO Barry Honig (“GRQ Roth 401K”). Excludes 59,203 shares of Series D Preferred Stock held by GRQ Roth 401K, 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. 401K (“GRQ 401K”), and 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. Defined Benefit Plan (“GRQ DBP”). The Series D Preferred Stock is convertible into shares of Common Stock on a one for ten basis. The Series D Preferred Stock may not be converted and the holder may not receive shares of the Company’s Common Stock such that the number of shares of Common Stock held by it and its affiliates after such conversion exceeds 4.99% of the then issued and outstanding shares of Common Stock, The restriction described above may be waived, in whole or in part, upon sixty-one (61) days prior notice by the holder to the Company. The number of shares reflected above is limited accordingly. Barry Honig is the trustee of GRQ Roth 401K and GRQ 401K and the beneficiary of GRQ DBP and in such positions is deemed to hold voting and dispositive power over securities of the Company held by such entities.
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(3)
|
Based on 2,407,371 shares outstanding as of September 26, 2013.
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1
|
NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
GRQ Consultants, Inc. Roth 401K FBO Barry Honig
|
|||
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨
(b) ¨
|
||
3
|
SEC USE ONLY
|
|||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Florida
|
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NUMBER OF SHARES
|
5
|
SOLE VOTING POWER
0
|
||
BENEFICIALLY
OWNED BY
|
6
|
SHARED VOTING POWER
106,162 (1) (2)
|
||
EACH
REPORTING
|
7
|
SOLE DISPOSITIVE POWER
0
|
||
PERSON WITH
|
8
|
SHARED DISPOSITIVE POWER
106,162 (1) (2)
|
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
106,162 (1) (2)
|
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
|
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
4.4% (2)
|
12
|
TYPE OF REPORTING PERSON*
OO
|
(1)
|
Represents 106,162 shares of Common Stock held by GRQ Consultants, Inc. Roth 401K FBO Barry Honig (“GRQ Roth 401K”). Excludes 59,203 shares of Series D Preferred Stock held by GRQ Roth 401K, 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. 401K (“GRQ 401K”), and 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. Defined Benefit Plan (“GRQ DBP”). The Series D Preferred Stock is convertible into shares of Common Stock on a one for ten basis. The Series D Preferred Stock may not be converted and the holder may not receive shares of the Company’s Common Stock such that the number of shares of Common Stock held by it and its affiliates after such conversion exceeds 4.99% of the then issued and outstanding shares of Common Stock, The restriction described above may be waived, in whole or in part, upon sixty-one (61) days prior notice by the holder to the Company. The number of shares reflected above is limited accordingly. Barry Honig is the trustee of GRQ Roth 401K and GRQ 401K and the beneficiary of GRQ DBP and in such positions is deemed to hold voting and dispositive power over securities of the Company held by such entities.
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(2)
|
Based on 2,407,371 shares outstanding as of September 26, 2013.
|
(1)
|
Excludes 429,303 shares of Series D Preferred Stock which are convertible into shares of Common Stock on a one for ten basis. The Series D Preferred Stock may not be converted and the holder may not receive shares of the Company’s Common Stock such that the number of shares of Common Stock held by it and its affiliates after such conversion exceeds 4.99% of the then issued and outstanding shares of Common Stock, The restriction described above may be waived, in whole or in part, upon sixty-one (61) days prior notice by the holder to the Company. The number of shares reflected above is limited accordingly.
|
(2)
|
Represents 106,162 shares of Common Stock held by GRQ Consultants, Inc. Roth 401K FBO Barry Honig (“GRQ Roth 401K”). Excludes 59,203 shares of Series D Preferred Stock held by GRQ Roth 401K, 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. 401K (“GRQ 401K”), and 6,924 shares of Series D Preferred Stock held by GRQ Consultants, Inc. Defined Benefit Plan (“GRQ DBP”). The Series D Preferred Stock is convertible into shares of Common Stock on a one for ten basis. The Series D Preferred Stock may not be converted and the holder may not receive shares of the Company’s Common Stock such that the number of shares of Common Stock held by it and its affiliates after such conversion exceeds 4.99% of the then issued and outstanding shares of Common Stock, The restriction described above may be waived, in whole or in part, upon sixty-one (61) days prior notice by the holder to the Company. The number of shares reflected above is limited accordingly. Barry Honig is the trustee of GRQ Roth 401K and GRQ 401K and the beneficiary of GRQ DBP and in such positions is deemed to hold voting and dispositive power over securities of the Company held by such entities.
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(3)
|
Based on 2,407,371 shares outstanding as of September 26, 2013.
|
GRQ Consultants, Inc. Roth 401K FBO
Barry Honig |
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Date: September 26, 2013
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By:
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/s/ Barry Honig
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Barry Honig
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Trustee
|
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Date: September 26, 2013
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/s/ Barry Honig
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Barry Honig
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